CHRISTINE A BLOOM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065773

License Status

INACTIVE

Business

First Name

CHRISTINE A

Last Name

BLOOM

Suffix

Business Name

CHRISTINE A BLOOM MD

Original Issue Date

12/07/1982

Effective Date

12/07/1982

Expiration Date

07/31/1987

City

VAN NUYS

State

Zip

91401

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006